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Minimally invasive scleral fixation of foldable IOL without conjunctival dissection

Poster Details

First Author: W.Yong CHINA

Co Author(s):                        

Abstract Details

Purpose:

To evaluate the efficacy of a refined technique of minimally invasive scleral fixation of an foldable IOL without conjunctival dissection.

Setting:

A prospective case series

Methods:

A prospective case series of 22 patients who had been in the absence of capsular support underwent minimally invasive scleral fixation of an foldable IOL without conjunctival dissection were examined for preoperative best-corrected visual acuity (BCVA), any intraoperative complications, BCVA at 7 days, 3 months postoperatively, corneal endothelial cell density, IOL tilt, IOL decentration.

Results:

The mean BCVA was 0.47 logMAR units preoperatively and 0.16 logMAR units at 3 months postoperatively (P=0.003). The mean corneal endothelial cell loss was 6.4±6.8% (p=0.59) at 3 months. The mean IOL decentration was (0.31±0.18)mm .The mean IOL tilt was (1.5±0.8)°. One patient who was excluded because of a failure reverse scleral pocket underwent iris fixation. The postoperative complications mainly included mild anterior chamber exudates in 3 eyes of 3 patients, temporary intraocular pressure elevation in 5 eyes of 5 patients and dispersed vitreous hemorrhage in the immediate postoperative period that cleared in 3 weeks’time in one eye. There was no severe complications such as subchoroidal hemorrhage, suture exposure, endophthamitis, retinal detachment and so on.

Conclusions:

The technique of minimally invasive scleral fixation of an foldable IOL without conjunctival dissection is effective and feasible for visual rehabilitation with a significant advantage with regard to cosmetic blemish, salvaging of the conjunctiva, prevention of late suture erosion, or knot breakage, and IOL tilt as well.

Financial Disclosure:

NONE

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